Furthermore, according to dominance of blame culture and existing tendency for hiding of information by all caregivers and also weakness of hospital information infrastructure, the voluntary reporting system was considered as the basis of data collection process. Because of predictable underreporting, other sources of information such as mortality and morbidity board, committee of complains and Malpractice claims were perceived. Because of cultural issues and expected loss of information, exploit of a proactive approach was considered necessary which applied by establishment of FMEA teams. However, the model introduced in this article can provide a practical framework in risk management system at the national level and for developing countries, especially at the initial steps of their system development.